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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJames Heywood
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    James Heywood — Billing Profile & Reimbursement Data

    NPI 1285612457 · La Jolla, CA · Advanced Heart Failure and Transplant Cardiology Physician

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    James Heywood is a advanced heart failure and transplant cardiology physician provider located in La Jolla, California. This profile covers 27 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJames Heywood
    Address9898 Genesee Ave
    CityLa Jolla
    StateCA
    ZIP92037
    TaxonomyAdvanced Heart Failure and Transplant Cardiology Physician
    NPI EnumeratedJanuary 6, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$218.8K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…580$100$57.9K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…580$80$46.6K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…120$140$17.1K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…80$170$14.4K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…160$70$10.3K
    93356The provider performs speckle tracking of myocardial mechanics to assess myocardial strain in addition to standard echocardiography.310$30$8.6K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…90$100$8.3K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…50$140$7.3K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…100$70$6.6K
    93351In this procedure, the provider performs continuous transthoracic echocardiography both at rest and after exercise and reviews images evaluating and assessing global and ventricular performance and…30$200$6.2K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    933063362,400240$110$34.1K
    992336,84611,530120$100$26.2K
    992144,15237,970120$90$23.2K
    992912,6197,22060$180$18.6K
    992324,15812,28090$70$16.3K
    992153,64915,36050$130$14.4K
    9921315,54634,66080$70$13.2K
    992235,97113,19050$140$11.3K
    9335144680040$190$10.4K
    992056,1548,36030$170$7.2K

    Showing 1–10 of 27

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with James Heywood, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Scripps HealthCAGeneral Acute Care Hospital$0$64.2M
    Scripps HealthCAClinical Medical Laboratory$8.9M$301.7K
    Darren SigalCAMedical Oncology Physician$2.9M$0
    Alexander SalloumCAVascular Surgery Physician$2.8M$0
    Munveer BhangooCAMedical Oncology Physician$2.3M$0
    Scripps HealthCAAmbulatory Surgical Clinic/Center$2.2M$0
    NPI 1063405082——$2.1M$0
    Anne HannekenCAOphthalmology Physician$2.1M$0
    Alan SavenCAHematology & Oncology Physician$1.7M$0
    Michael KostyCAHematology & Oncology Physician$1.5M$0

    Nearby Providers

    Other providers in the same ZIP code as James Heywood, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Richard AbelloCADiagnostic Radiology Physician$1.5M$0
    Herman MillerCAInfectious Disease Physician$1.1M$0
    Alvin WyattCADiagnostic Radiology Physician$1.1M$0
    Ucsd Ambulatory Surgery Center, LLCCAAmbulatory Surgical Clinic/Center$1.1M$0
    Scripps HealthCAClinical Medical Laboratory$978.1K$7.1K
    Hubert GreenwayCAMOHS-Micrographic Surgery Physician$941.9K$0
    Farah NasratyCAHematology & Oncology Physician$900.4K$0
    Nikunj PatelCADiagnostic Radiology Physician$774.4K$0
    Ghassan MoasisCAThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$754.6K$0
    Charles LiuCADiagnostic Radiology Physician$683.6K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. California Distribution
    James Heywood — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California